Nurture Wellness Therapy and Yoga, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

NURTURE WELLNESS THERAPY AND YOGA, LLC

Practice address

302 SW 6TH St Ste 10
Bentonville, AR 72712-5771

Phone

(512) 592-0281

NPI assigned

Jun 6, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kelly Smith, LCSWNPI 1063757052

Title

Owner/Therapist

Phone

(512) 592-0281

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly Anne Smith, LCSW

  • Clinical Social Worker
  • Rogers, AR
  • NPI 1063757052
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717632000000",
    "number": "1902648454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SWALLOW LN",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727143238",
            "telephone_number": "512-592-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 SW 6TH ST STE 10",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727125771",
            "telephone_number": "512-592-0281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURTURE WELLNESS THERAPY AND YOGA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "512-592-0281",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alicia Norton
• Lauren Hart Norton, PT
• Rebecca Norton
• Loyd E Nugent, M.D.
• Colleen M Nulty, LAC
• Nwa Outpatient Surgery Center LLC
• Nwa Sports Medicine Institute, PLLC
• Bonnie Denise O'Boyle, LPC
• Sally Leighann O'Kelley, COTA/L
• Oark Care of Ar, LLC

• Adult Mental Health Clinic/Center in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Adult Mental Health Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.